FAMILY HEALTH CENTER, INC (NPI# 1225373178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225373178 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTER, INC |
| Other Organization Name | FAMILY HEALTH CENTER HOSPITAL |
| Practice Address |
117 S 11th Ave Laurel MS 39440-4312 |
| Mailing Address |
Po Box 4361 Laurel MS 39441-4361 |
| Practice Telephone | 6014253033 |
| Practice Fax Number | 6014220431 |
| Mailing Telephone | 6014253033 |
| Mailing Fax Number | 6014220431 |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |
| Authorized Official Name | DR. RASHAD N ALI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6014253033 |
| Authorized Official Credential | M.D., J.D., FAGO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09010072 | 05 |
| Other Name | Type Code |
|---|---|
| Family Health Center Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952557621 | Family Health Center, Inc | Pharmacy | 2918 Portage St, Kalamazoo, MI 49001-3755 | 2008-08-14 |
| 1154502979 | Family Health Center, Inc | Specialist | 409 Willis Street, Suite 2, Taylorsville, MS 39168 | 2007-11-20 |
| 1578744900 | Family Health Center, Inc | Community Health Worker | 203 Broad Street, Sandersville, MS 39477-0279 | 2007-11-14 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1902234123 | Family Health Center, Inc | Clinic/Center | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2013-10-25 |
| 1326102385 | Family Health Center, Inc | Durable Medical Equipment & Medical Supplies | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2006-12-21 |
| 1760488357 | Family Health Center, Inc | Clinic/Center | 117 South 11th Avenue, Laurel, MS 39441-4361 | 2005-06-28 |
| Street Address |
117 S 11TH AVE |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831195536 | Gayla B. Glenn | Dietitian, Registered | 117 S 11th Ave, Laurel, MS 39440-4312 | 2005-06-27 |
| 1932739034 | Family Health Center, Inc. | Bus | 117 S 11th Ave, Laurel, MS 39440-4312 | 2020-01-17 |
| 1508406802 | Jessica Lynn Anderson | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2020-01-14 |
| 1093373110 | Sarah Nicole Thames | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2019-06-04 |
| 1386197697 | Scott Fowler | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2016-08-03 |
| 1477919603 | Family Health Center, Inc. | Clinic/Center | 117 S 11th Ave, Laurel, MS 39440-4312 | 2016-01-04 |
| 1649666744 | Sheree Lamara Conley-donaldson | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2015-04-15 |
| 1548656614 | Lashundra Shanett Speights | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2015-04-15 |
| 1245648104 | Casey Herrington | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2014-07-23 |
| 1497187512 | Felicia Keys | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2013-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497384945 | Unique Minds Behavioral Health Services, LLC | Clinic/Center | 8101 Sandy Spring Rd Ste 300-e6, Laurel, MD 20707-3596 | 2020-04-06 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1114486230 | Dentistry for Children of Maryland, LLC | Clinic/Center | 13600 Baltimore Ave Ste 200, Laurel, MD 20707-9495 | 2019-03-18 |
| 1578634127 | Jones County School | Clinic/Center | 990 Highway 15 S, Laurel, MS 39443-0801 | 2006-11-13 |
| 1881255685 | Watkins Acupuncture Clinic, LLC | Clinic/Center | 7750 Montpelier Rd, Laurel, MD 20723-6010 | 2019-06-24 |
| 1518486943 | Jefferson Neurology Clinic, LLC | Clinic/Center | 319 S 13th Ave, Laurel, MS 39440-4342 | 2017-09-18 |
| 1821515388 | South Central Clinics, Inc | Clinic/Center | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1245502012 | My Family Medical Care Center, LLC | Clinic/Center | 14201 Laurel Park Dr, Suite 102a, Laurel, MD 20707-5203 | 2012-02-08 |
| 1063742658 | South Central Regional Medical Center | Clinic/Center | 1220 Jefferson St, Laurel, MS 39440-4355 | 2010-01-05 |
| 1891832721 | Dml Enterprises, Inc. | Clinic/Center | 14201 Laurel Park Dr, Ste. 116, Laurel, MD 20707-5203 | 2007-01-31 |
| Find all providers in LAUREL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.